NPI | 1043603459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00902400) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 669305) |
163W00000X Registered Nurse (Licence: NJ 26NR19896800) | |
363LA2100X Nurse Practitioner Acute Care (Licence: CT 007470) | |
363LA2100X Nurse Practitioner Acute Care (Licence: NY F430992) | |
Enumeration Date | 2015-03-09 |
Last Update Date | 2022-01-22 |